Αποτελέσματα Αναζήτησης
For additional information regarding the Medicare enrollment and reassignment process, including Internet-based PECOS and to get the current version of the CMS-855R, go to http://www.cms.gov/MedicareProviderSupEnroll. INSTRUCTIONS FOR COMPLETING THIS APPLICATION.
Enrollees may receive a copy of their Form 1095-B upon request by calling the customer service number on the back of their Member ID card, by logging into their Priority Health member account or by mailing in a request to Priority Health, 1231 East Beltline Ave. NE, Grand Rapids, MI 49525-4501.
Medicare enrollment instructions. Thank you for choosing a Medicare plan from Priority Health. Please follow these helpful tips to avoid delays in processing your enrollment. To enroll online visit prioritymedicare.com, the Provider/Pharmacy Directory and Formulary are also available here.
Print this section ENROLLMENT. Health care providers must enroll in the Medicare Program to get paid for providing covered services to Medicare patients. Learn how to determine if you’re eligible to enroll and how to do it. Who Are Institutional Providers? ⤵
Learn how to initially enroll, revalidate, and submit changes of information for individual providers. Cover all aspects of completing the CMS-855I & 855R with a walkthrough of both the paper and PECOS versions of the form. Learn how to avoid common mistakes when submitting the 855-I&R. •.
The following forms can be used for initial enrollment, revalidations, changes in status, and voluntary termination: CMS-855A (PDF) for Institutional Providers. CMS-855B (PDF) for Clinics, Group Practices, and Certain Other Suppliers. CMS-855I (PDF) for Physicians and Non-Physician Practitioners.
For additional information regarding the Medicare enrollment and reassignment process, including Internet-based PECOS and to get the current version of the CMS-855R, go to http://www.cms.gov/MedicareProviderSupEnroll. INSTRUCTIONS FOR COMPLETING THIS APPLICATION. Type or print all information so that it is legible. Do not use pencil.
